| Doctor Name: | DONNA MICHELLE ROSS |
| NPI Number: | 1760433072 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | 15258 |
| Business Practice Address: | 104 E Industrial Blvd Early, TX - 768022354 |
| Business Phone Number: | 3256499313 |
| Business Fax Number: | 3256469452 |
| Mailing Address: | 104 E Industrial Blvd, EARLY |
| State: | TX |
| Postal Code: | 768022354 |
| Phone Number: | 3256499313 |
| Fax Number: | 3256469452 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 15258 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |